{
"Npi": {
"NPI": "1023347226",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE CHILDREN'S HOSPITAL OF PHILADELPHIA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "19 N GREEN ACRE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHERRY HILL",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08003-1003",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "267-425-4666",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "34TH & CIVIC CENTER AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19104",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-425-4666",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/17/2009",
"LastUpdateDate": "12/17/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KONEN",
"AuthorizedOfficialFirstName": "PHILOMENA",
"AuthorizedOfficialMiddleName": "MARY",
"AuthorizedOfficialTitle": "NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CRNP",
"AuthorizedOfficialTelephoneNumber": "856-264-1858",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "SP007605",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}